Mike Napoli reveals hip condition: avascular necrosis

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That Mike Napoli ended up accepting a one-year, $5 million guarantee from the Red Sox after originally agreeing to a three-year, $39 million contract suggested that something pretty bad was going on with his hip. The details came out today, courtesy of Napoli’s agent: Napoli was diagnosed with avascular necrosis in both of his hips.

Avascular necrosis is pretty much what it sounds like: the death of bone due to a lack of blood supply. According to Wikipedia, it’s most common in the hip, though it can also take place at the shoulder, knee and other joints.

The 31-year-old Napoli has experienced no symptoms as a result of the condition. According to his agent, it was caught at the very early stages, having been revealed in the Red Sox’s original physical. While people with avascular necrosis of the hip often end up needing a total hip replacement, that appears to be many years off in this case, if it ever proves necessary at all.

Bo Jackson’s is the most famous case of avascular necrosis, with his developing after he injured his hip in an NFL game. He later returned to baseball and the major leagues, but he was never the same kind of athlete.

Brett Favre was also diagnosed with avascular necrosis of the hip in 1992. He never required surgery and did OK for himself playing football for a couple of decades.

The Red Sox are planning on Napoli being their everyday first baseman this season after finalizing the contract. Playing the position should definitely be easier on his body than catching. Napoli said he’s on medication to help stave off any symptoms and that he’s really excited for the season to start up.

Video reviews overturn 42% rate; Boston most successful

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NEW YORK (AP) Video reviews overturned 42.4% of calls checked during Major League Baseball’s shortened regular season, down slightly from 44% in 2019.

Boston was the most successful team, gaining overturned calls on 10 of 13 challenges for 76.9%. The Chicago White Sox were second, successful on eight of 11 challenges for 72.7%, followed by Kansas City at seven of 10 (70%).

Pittsburgh was the least successful at 2 of 11 (18.2%), and Toronto was 7 of 25 (28%).

Minnesota had the most challenges with 28 and was successful on nine (32.1%). The New York Yankees and Milwaukee tied for the fewest with nine each; the Yankees were successful on five (55.6%) and the Brewers three (33.3%).

MLB said Tuesday there were 468 manager challenges and 58 crew chief reviews among 526 total reviews during 898 games. The average time of a review was 1 minute, 25 seconds, up from 1:16 the previous season, when there 1,186 manager challenges and 170 crew chief reviews among 1,356 reviews during 2,429 games.

This year’s replays had 104 calls confirmed (19.8%), 181 that stood (34.4%) and 223 overturned. An additional 12 calls (2.3%) were for rules checks and six (1.1%) for recording keeping.

In 2019 there were 277 calls confirmed (12.5%), 463 that stood (34.1%) and 597 overturned. An additional nine calls (0.7%) were for rules checks and 10 (0.7%) for record keeping.

Expanded video review started in 2014.